No : SIG.CL.X.2019.

028497 Bogor, 24 Oktober 2019

Lamp : 1 Halaman
Perihal : Laporan Hasil Uji Laboratorium

Kepada Yth.
CV. Herba Bagoes
Jl. H Sidin II No. 181 Jakarta Timur

Dengan hormat,
Berdasarkan surat order marketing nomor : SIG.Mark.R.X.2019.019648 ,maka bersama
ini kami sampaikan hasil uji analisis laboratorium untuk sample produk :

Nama Sample : Nata - Keto

Keterangan : Terlampir

Demikian surat ini kami sampaikan semoga dapat dipergunakan sebagaimana mestinya.
Atas kerjasamanya yang baik kami mengucapkan terima kasih.

Hormat kami,
PT. Saraswanti Indo Genetech

Robertus B.Aryo
Manager Marketing

Result of analysis on page I

 No. 28/F-PP/SMM-SIG
Revisi : 3

RESULT OF ANALYSIS
Laporan Hasil Pengujian
SIG.LHP.X.2019.090635

I. Number / Nomor
1.1. Order No. / No. Order : SIG.Mark.R.X.2019.019648
II. Principal / Pelanggan
2.1. Name / Nama : CV. Herba Bagoes
2.2. Address / Alamat : Jl. H Sidin II No. 181 Jakarta Timur
2.3. Phone / Telepon : 08123536872
2.4. Contact Person / Personil Penghubung : Anas
III. Sample / Contoh Uji
3.1. Sample Code / Kode Sampel : -
3.2. Batch Number / No Batch : -
3.3. Lot Number / No Lot : -
3.4. Packaging / Kemasan : -
3.5. Production Date / Tanggal Produksi : -
3.6. Expire Date / Tanggal Kadaluarsa : -
3.7. Factory Name / Nama Pabrik : -
3.8. Factory Address / Alamat Pabrik : -
3.9. Trade Mark / Nama Dagang : -
3.10. Sample Name / Nama Sample : Nata - Keto
3.11. Other Information / Keterangan Lain : -
3.12. Date of Received / Diterima : October 17, 2019
3.13. Date of Analysis / Tanggal Uji : October 18, 2019 - October 23, 2019
3.14. Type of Analysis / Jenis Uji : Terlampir
IV. Result / Hasil Uji

Result of analysis on page II

The results of these tests relate only to the sample(s) submitted. This report shall not be reproduced except in full context,
without the written approval of PT. Saraswanti Indo Genetech

No. Parameter
1 Energi Total
2 Gula
3 Protein
4 Kadar Abu
5 Energi dari lemak
6 Lemak Total
7 Kadar Air
8 Karbohidrat
Bogor, 24 Oktober 2019
PT. Saraswanti Indo Genetech
Dwi Yulianto Laksono, S.Si
Manager Laboratorium
The results of these tests relate only to the sample(s) submitted. This report shall not be reproduced except in full context,
No. 28/F-PP/SMM-SIG
Revisi : 3
Result of Analysis
No : SIG.LHP.X.2019.090635
Unit Result Limit Of Detection Method
Kcal/100 g 2.32 - Calculation
18-8-8/MU/SMM-SIG (Luff-
% Not detected 0.28
Schoorl)
18-8-31/MU/SMM - SIG
% 0 -
(Kjeltec)
% 0.02 - SNI 01-2891-1992, 6.1
Kcal/100 g 0 - Calculation
18-8-5/MU/SMM - SIG
% 0 -
(Weilbull)
SNI 01-2891 - 1992, point 5 .
% 99.40 -
1
% 0.58 - 18-8-9 /MU/SMM-SIG
Result of analysis on page III
without the written approval of PT. Saraswanti Indo Genetech